| NPI | 1699363291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JUSTIN MONTOTO Owner/Operator 786-245-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-10-11 |